TABLE 2. Turning all disease and non-disease programs into a problem, a novel technique used by the PAHO-adapted Hanlon method to include both disease and non-disease programs in priority setting.
|
Disease programs |
Non-disease programs |
|---|---|---|
Consideration |
A disease is a bad thing |
A health system or public health intervention is a good thing |
Defining “a problem” |
High “access” to a disease, and especially a serious disease |
Low access to a good program |
Defining “no problem” |
Little or no disease |
High access to a good program |
Measuring “size of problem” |
Size of problem refers to a high prevalence or incidence of disease |
Size of problem refers to the lack of resources or coverage of the program |
Measuring “seriousness of problem” |
Seriousness refers to worsening problem, severity, economic loss, and negative impact due to disease |
Seriousness refers to worsening problem, severity, economic loss, and negative impact due to lack of program or program deficiency |
Measuring “effectiveness of intervention for problem” |
Effectiveness of intervention refers to effective ways to reduce the problem (disease) |
Effectiveness of intervention refers to effective ways to reduce the problem (lack of coverage or program deficiency) |
Source: Prepared by the authors from the study results.